20071627 Ver 1_401 Application_20070907

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The following is an abbreviated application form for those applying fora 401 Water
Quality Certification to impact FERC (Federal Energy Regulatory Commission)
regulated lake shore or bottom under the U.S. Army Corps of Engineers Permit GP30.
This Application cannot be used for wetland or stream impacts. Please provide five (5)
copies of this application and supporting information as well as anon-refundable
application fee to the Division of Water Quality of $200.00 for impacts to lake bottom of
less than 1 acre and $475.00 for impacts to lake bottom of greater or equal to 1 acre.
Applications should be sent to:
Division of Water Quality Wetlands Unit
1650 Mail Service Center ~°,
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Raleigh, N.C. 27699-1650 --- ~'~" " s~ ~ ~ ~~~
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I. Applicant Information ~ L'~m ~ h ^P r' '.~ '~U4 f
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1. Owner/Applicant Information ~ ~;<;~_ C ~~ n 4;~~,~' ~~ `~~``~
Name: Charles C. Bell
Mailing Address: 4105 5th St. NW
Hickory, NC 28601
Telephone Number: 828-304-4794 Fax Number: 828-328-3121
E-mail Address: cbell(a~hbf.com
Agent information (a signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: Robin Maher
Company Affiliation: Professional Permits
Mailing Address: 185 Maher Drive
Taylorsville, N.C.
Telephone Number: 828-495-7015 Fax Number: 828-495-3855
E-mail Address: professionalpermits~~>,earthlink.net

II. Project Information
Attach a vicinity map clearly showing the location of the
property with respect to local landmarks such as towns, rivers, and roads. Also provide a
detailed site plan showing property boundaries and development plans in relation to
surrounding properties. You may use the diagram below to make a hand sketch of your
project. Also, see the example below for guidance. Both the vicinity map and site plan
must include a scale and north arrow. The footprints of all buildings, impervious surfaces,
or other facilities must be included.
1. Location
County: Catawba Nearest Town: Hickory
Subdivision name or site address (include phase/lot number):
4105 5th St. NW
Hickory, NC 28601
Lake Grove
Directions to site. Please include road numbers, landmarks, etc. (this is not necessary if
an adequate vicinity map is included).
Take 127 North.
Turn left onto 39th Avenue Dr. NW.
Continue straight to 4th St. Ct. NW.
Take immediate left onto 4th St. Lane NW.
Go ap~ox.'/a mile and take left onto 41St Avenue.
Blue-gray contemporary house on immediate left.
2. Describe the existing land use or condition of the site at the time of this application:
This is a 2-story blue-gray contemporary home with a landscaped yard.
3. Property size (acres) .63 acres
4. Nearest body of water (stream/river/sound/ocean/lake):
Lake Hickory
5. Describe the purpose of the proposed work:
To stabilize 60 feet along the shoreline of this lot by applyingrip-rap. The
height of the rip-rap will be 4 feet.
6. List the type of equipment to be used to construct the project:
Back-hoe.
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.)
below the normal lake level in square feet or acres:
2 Ft. z 60 Ft. =120 Sq. Ft.

8a. Amount of impact (including all clearing, back fill, excavation, rip rap, retaining
walls, etc.) above the normal pool lake level and 50 feet land-ward in square feet or acres:
4 Ft. x 60 Ft. = 240 Sq. Ft.
(There will be NO construction pathway -barge is being used).
8b. Please describe vegetation above the normal pool lake level and 50 feet land-ward to
be impacted (number of trees for instance):
NO trees will be removed.
Applican~Agent's Signatw-e: Date: ~ • o'i0 -D ~
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(Agent's signature is valid only if an authorization letter from the applicant is provided.)

~ L,,,~IAe .P~el1
bake (Full Pond}
A. IQO,r9e twill be Used {~or ~-~ P~je~"
F--Proposed boat ~oGK~
Full Pond
Shoreline
Lakeward
y' X loll' Clear ed-a
gbove f u ~- Pond
~..~.}' x (00' CI ea re d
Alcove f u 1l pond
(q~b -~-r~ ~ po,~hu~ayw~N 1~uT
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Please approximately sketch the following information. on this plan
(please provide dimensions for each item, such as 10 ft. x 100 ft.}:
I) All proposal vegetation clearing f provide dimensions)
2} Location of rip rap or fill to be placed above the "Normal Poo!"
elevation
3} Location of rip rap or fill to be placed below the "Normal Pool"
elevation
4) The location of any proposed strudwes such as buildings,
retaining walls, docks, etc.
5) The location of any excavation or dredging below the "Normal
Pool" elevation
6} Location of construction access corridors

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To: North Carolina Division of Water Quality
I give Robin Maher, of Professional Permits, permission to
sign as my agent on my application for shoreline .
stabilization.
Signature (s)
Date: ~• 21.E • O'1

DUKE ENERGY LAKE SERVICES
EC 12-Q
P.O. BOX 1006
CHARLOTTE, N.C. 28201-1006
704-382-1567 or TOLL FREE 1-800-443-5193
APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN
NORTH CAROLINA
Please type or print and fill in all the blanks. If information is not applicable, so indicate
by placing N/A in blank. PLEASE SUBMIT APPLICATION AND APPROPRIATE
DUKE ENERGY FILING FEE, PAYABLE TO DUKE ENERGY, TO ABOVE
ADDRESS.
I. Applicant Information
A. Name: Charles C. Bell
B. Mailing Address: 4105 5th St. NW
Hickory, NC 28601
C. Telephone:[phone]
II. Location of Proposed Project
A. Lake: Hickory
B. Street Address :4105 5th St. NW
Hickory, NC 28601
C. County: Catawba
D. City, town, community, or landmark: Hickory
E. Section: N/A Lot: N/A Subdivision: Lake Grove
F. Directions to property by road.
Highway 127 North .
Turn left onto 39th Avenue Drive NW.
Continue straight to 4th St. Ct. NW.
Take immediate left onto 4th St. Lane NW.
Go approx.'/4 mile and take left onto 41st Avenue.
Turn right onto 5th St. NW.
Blue-gray house on immediate left.
G. Latitude and longitude for the project site: Latitude: 35.79143 N
Longitude: 81.33191' W
H. Please submit a map showing the coordinates or a detailed map (USGS quad
map, city map, etc.) showing the exact location of the project site.
(NOTE: Latitude/Longitude coordinates can be found on Internet site:
www.mapsonus.com

III. Description of Project
A. Length of wall: 60 Linear Feet
B. Material: Class Brip-rap
C. Distance from property/shoreline: Will follow existing shoreline.
IV. Intended Use of Project Area
A. rivate
B. Commercial
V. Applicant Signature~~ ate: • ~ '0~
Agent Signature: ~Dbin~(lA~'l~/1 Date: 9-11-x7
Pn,t~.c~~.~.~rx~Q P~,Mr
Phone: [phone]
Fax: [phone]
PLEASE NOTE THE FOLLOWING:
* A COPY OF THE COMPLETED APPLICATION WITH A ROAD MAP
SHOWING LOCATION OF THE PROPERTY MUST BE SUBMITTED TO
US ARMY CORPS OF ENGINEERS
151 PATTON AVENUE
ROOM 208
ASHEVILLE, N.C. 28801-5006
* A COPY OF THE "DUKE POWER APPLICATION FOR PERMIT TO
STABILIZE THE SHORELINE IN NORTH CAROLINA" AND FIVE (5)
COPIES OF THE COMPLETED "NC DIVISION OF WATER QUALITY
PRE-CONSTRUCTION NOTIFICATION APPLIATION" MUST BE
SUBMITTED WITH THE DIVISION OF WATER QUALITY
APPLICATION TO:
NC DIVISION OF WATER QUALITY
ATTENTION: JOHN DORNEY
PARKVIEW BLDG., 2321 CRABTREE BLVD.
RALEIGH, N.C. 27604